MEDICARE: SANKET L PATEL MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	11973	NV

General Provider Information

NPI Number	:	1841370780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANKET L PATEL MD PC

Provider Business Mailing Address
First Line	:	9811 W CHARLESTON BLVD
Second Line	:	SUITE 2-868
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-388-1300
Fax Number	:	702-685-6812

Provider Business Practice Location Address
First Line	:	9811 W CHARLESTON BLVD
Second Line	:	SUITE 2-868
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7528
Country	:	US
Telephone Number	:	702-388-1300
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANKET LALJI PATEL
Credential	:	MD
Telephone Number	:	702-256-3637

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/11/2013

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